Individual
MR. BRIAN WAYNE MAXEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
880 RIVER AVE, SUITE 4, BRONX, NY 10452
(718) 538-6158
(718) 537-3860
Mailing address
880 RIVER AVE, SUITE 4, BRONX, NY 10452
(718) 538-6158
(718) 537-3860
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0746851
NY
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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